Coronavirus Disease (COVID-19)

Discussion in 'General OT' started by imart, Jan 28, 2020.

  1. Sir iAco

    Sir iAco PhilMUG Addict Member
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    NY’s largest hospital network had to buy garden hoses to fix ventilators: book
    nypost.com
    August 9, 2020

    [​IMG]
    James Messerschmidt

    At one point during the height of the coronavirus pandemic, staffers at New York’s largest hospital network were forced to shop at hardware stores for garden hoses to make the ventilators they had received from the state actually work, according to a new book.

    This experience and many others resulted in Northwell Health seeking to buy its own medical supply company so it never again has to rely on China or other governments for vital goods like vents, scrubs and masks.

    “We should never again have less than a robust stockpile of ventilators and other essential equipment… Overreliance on China to manufacture vital supplies is a perilous gamble,” Northwell Health executive director Michael Dowling writes in “Leading Through a Pandemic.”

    “We at Northwell Health are considering acquiring a supply company to achieve a measure of self-sufficiency when it comes to vital supplies.”

    The newly-published 187-page book — co-written by Dowling and Northwell’s chief journalist/editor Charles Kenney — is believed to be the first major book written by front-line medical providers who confronted the killer bug’s devastating impact on New York, costing 32,000 lives.

    Northwell’s network of 23 hospitals treated some 70,000 coronavirus patients — more than anywhere in the country.

    But staffers were plagued by a dire lack of medical equipment, so much so that “Even when we did receive much-needed ventilators from New York State, many arrived without parts needed to make them functional,” execs wrote.

    “At one point our staff members went to hardware stores to purchase garden hoses which they cut up and attached so vents would work.”

    Northwell’s employees also used 3D-printed parts to help fashion makeshift breathing machines and nasal swabs to test patients for COVID-19, the book says.

    The over-reliance on foreign companies extended to pharmaceutical drugs, Northwell officials said, suggesting this was a serious national security issue.

    “The United States Army didn’t outsource its bullet making to China,” said Dr. Kevin Tracey, CEO of Northwell’s Feinstein Institute for Medical Research.

    The hospital network’s strategy to control its future regarding personal protective equipment is just one takeaway from the book, which explores the lessons it learned during the height of the virus outbreak.

    Northwell officials said they have been exploring the possibility since May and that there have been ongoing discussions with private manufacturers.

    “We’re in talks with a couple of companies. You can’t depend on people overseas for supplies when you are in the middle of a war,” Dowling told The Post on Sunday.

    The tome makes 13 recommendations on how to better prepare for a future disaster — one being that the government should abolish or revise existing rules so medical staffers have more flexibility to respond to public health crises.

    Fortunately, Northwell officials said, Gov. Andrew Cuomo and federal health officials had this time waived many of regulations and laws, which exempted doctors and hospitals from medical malpractice suits and making it easier to convert space into COVID-treatment units.

    Other proposals include protecting the physical and emotional needs of staff, expanding partnerships with other hospital systems across the country and accelerating the movement for tele-health care.

    The book treads lightly on the controversy surrounding the 6,500 COVID-19 deaths in New York nursing homes.

    Northwell officials generally call for better safety measures in “congregate settings” such as nursing homes.

    “There was too much death in these facilities and we have work to prepare safer congregate environments going forward,” they wrote.

    The book also describes how the virus depleted staff. At one point 3,500 workers were quarantined for being infected or exposed to the virus, including more than 20 percent at hard-hit Forest Hills and Valley Stream hospitals.

    Northwell said it hired thousands of visiting healthcare professionals and redeployed 2,750 staffers, which included mandatory reassignment, when the worst of the pandemic hit.

    The virus also took a financial toll, costing Northwell $1.2 billion in lost revenue and added costs. But the provider said it paid bonuses to front-line workers for their heroic work and said it would worry about the financial reckoning later.

    In addition to planning for a future pandemic, the book delves into tales of heroism and hearthbreak from the front lines

    At Lenox Hill Hospital, for example, one nurse played the US Navy band’s version of “The Star Spangled Banner” on her iPhone for relatives of a veteran saying their final goodbyes.

    Not everyone was lucky enough to have their family nearby when the moment came.

    A worker at Staten Island University Hospital describes in the book how he chose to stay at work instead of making his three-hour trek home to Yonkers just to make sure a patient wouldn’t die alone.

    “It’s always going to be with me,” John Baez wrote, “the sadness that she couldn’t have a loved one with her, but I couldn’t let her die alone.”

    The book describes how Long Island Jewish Forest Hills was so overwhelmed by the pandemic that 423 COVID patients were transferred to its other hospitals during a four-week period — and 17 people died at the Queens hospital on a single day in March.

    “Staff members were shell shocked,” the book states.

    In one wrenching episode, a woman with the virus gave birth at LIJ Forest Hills and then died. Her husband succumbed to the virus as well, orphaning their newborn.

    “In normal times, that would have been such a tragic story that our teams would have been talking about it and little else for a month,” the book states, “but in the crisis it was just another story.”

    “Those on the front lines of the crisis will likely be reckoning with the impact of their experiences, and of the many heartbreaking losses for a long time to come.”
     
    #2201 Sir iAco, Aug 10, 2020
    Last edited: Aug 10, 2020
    raypin likes this.
  2. Sir iAco

    Sir iAco PhilMUG Addict Member
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    This Could Be the Ace in the Hole for Johnson & Johnson's COVID-19 Vaccine

    fool.com

    J&J is behind in the race to develop a COVID-19 vaccine. But there's one thing that could make it a come-from-behind winner.
     
  3. king64

    king64 Active Member

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    maybe the doctor should move and live there fro 3 months.
     
    Sir iAco likes this.
  4. jetan

    jetan PhilMUG Addict Member

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  5. wingatu

    wingatu Active Member

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  6. Sir iAco

    Sir iAco PhilMUG Addict Member
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    Da! I'd like to try comrade Putin's vaccine. DU30 can have the Chi-com vaccine, for all I care.
     
  7. Sir iAco

    Sir iAco PhilMUG Addict Member
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    It's a thought. I doubt if the doc will go to the land of blue-eyed and blond babes without a fig leaf for protection. He might catch a different virus. I think he is making noise to be noticed and getting prepared for a job interview. He seems to show he can tweet like The Donald and ready to replace either Dr. Fauci "Fau Xi" or Dr. Birx. We'll see what happens after 11/3.
     
  8. Sir iAco

    Sir iAco PhilMUG Addict Member
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    What Happens to Viral Particles on the Subway
    nytimes.com

    Some nice interactive graphics outlining how subway cars handle air flow in the NYC transit system.


    [​IMG]

    What Happens to Viral Particles on the Subway
    By Mika Gröndahl, Christina Goldbaum and Jeremy White Aug. 10, 2020

    Many New Yorkers are avoiding the subway, fearful of jostling with strangers in crowded cars. Masks and social distancing are essential, but good air flow is also key to reducing the risk of exposure to the coronavirus.
    More: nytimes.com
     
  9. Seven Leaves

    Seven Leaves Active Member

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    Even if a new vaccine that has a good record in safety tests in the lab does arrives tomorrow, I would be more than glad to let others take it first and see its positive/negative effects before taking it myself. Very noble of our good president to volunteer to be the first ones to try it. No seriously, I truly hope the Russian or even the Chinese vaccines are indeed effective, as that would benefit the greater good but I have my reservations.
     
  10. Jess

    Jess PhilMUG Addict Member

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    i share your sentiments. i am rooting for a vaccine to be developed whether it is from China, USA, Russia or anywhere else. the sooner the better, our nation and the world in general badly needs to catch a break this 2020.
     
    Seven Leaves, Godfather and hitme64 like this.
  11. hitme64

    hitme64 PhilMUG Addict Member

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    There’s no assurance the vaccine being developed in Russia, USA, China, Israel or anywhere else will be as effective as to stymie COVID19. Despite effectiveness in safety tests, there will always be that apprehension it won’t work in the long run, it won’t be enough, or as greedy countries would do, it would just be a placebo. We all have to realize the vaccine may be the solution to the pandemic, but this new normal of physical distancing and usage of face masks will likely continue because people are willing to go through this mile with better appreciation of what these can do despite a cure.

    Not many share the optimism of going back to the previous normal. This is how it is going to be. This is how our lives will move on. Not many expect things will be back to where we left off.
     
    Mykolant, braindeadph, kyubi and 3 others like this.
  12. Seven Leaves

    Seven Leaves Active Member

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    My cousins live in Taiwan and things are gradually returning back to their previous normal over there so I believe it is possible. However, I'm suspicious by nature and at the back of my mind something tells me that this pandemic is somehow taken great advantage and even possibly prolonged by many powers that be to push their own agendas. Local and international.

    A good example is our government. Notice that they were able to fast track and continue to push at lot of changes that favours their political camp that normally would have robust opposition during more normal circumstances. Of course take my words with a grain of salt as these are simply my own speculations.
     
    braindeadph, gaol, catalysmic and 3 others like this.
  13. raypin

    raypin PhilMUG Addict Member

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  14. Sir iAco

    Sir iAco PhilMUG Addict Member
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    The Covid Drug Wars That Pitted Doctor vs. Doctor

    How much freedom should front-line clinicians have in treating Covid-19 patients with unproven drugs? The question opened up a civil war in some hospitals.

    By Susan Dominus
    nytimes.com
    • Published Aug. 5, 2020Updated Aug. 8, 2020
    • [​IMG]
      In the absence of conclusive research for Covid-19 treatments, many doctors are having to rely on their experience to make judgment calls about medications.Credit...Adam Ferguson for The New York Times
     
  15. Adarna

    Adarna Well-Known Member

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    Really sad today.

    I had to let go of my late mother's gardener of more than 10 years because he violated our house quarantine protocol by going out of the house to help his brother who was working 500 meters from us.

    Initially my dad wanted him to take a swab test again with him paying.

    Father later changed his mind and wanted him to exit the house.

    Now he's gone. In a time of uncertainty I want some stability.
     
  16. ice

    ice PhilMUG Addict Member

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    I am so envious of Taiwan's flight to nowhere and airport tour :cry:

    ***
    I think I've posted this here multiple times. Once the Gov't says everything is back to normal... Everything will be back to normal.

    Just this weekend, Singapore celebrated National Day + 8.8 Sale (it was also a long weekend)

    Malls had queues outside and inside! - good thing we went early... Just imagine if there was no crowd control, everyone will be inside malls shopping like there's no tomorrow.

    Even watching the National Day parade, you will see people with masks but no distancing.

    As per local news, last weekend's spending was not enough to boost the economy as most purchases made were on discounted items, but nice to see business with cash registers ringing.

    ***
    I always think of local traffic when the subject of going back to normal is mentioned...

    As much as I want to follow the traffic rules, those who don't follow gets to their destination faster.
     
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  17. jetan

    jetan PhilMUG Addict Member

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  18. Pupkin

    Pupkin Well-Known Member

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    Finally some Rare good news. This First Vaccine might have a good domino effect.
    Remember when the original iPhone was first successfully unlocked? Few days after many developers released their unlocked software more reliable and much more safer to do? I’m not comparing it to Vaccine development I’m just saying there’s always a pattern when something important is developed.

    Having said that, if we indeed get a shot of Sputnik V vaccine of Russia and more country develop and also release their Vaccine to the public is it safe to get another shot from different pharmaceuticals?
     
    jetan likes this.
  19. wingatu

    wingatu Active Member

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    Can we just withdraw our contributions and just use a private insurance?

    [​IMG]
     
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  20. Sir iAco

    Sir iAco PhilMUG Addict Member
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    Coronavirus: What's happening around the world on Tuesday
    Russia declares vaccine ready for use, despite international skepticism
    cbc.ca
     

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